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Acute Encephalitis Syndrome (AES) - Know More About It!

Dr. Pratyush Kumar 90% (28 ratings)
MBBS, DNB
General Physician, Patna
Acute Encephalitis Syndrome (AES) - Know More About It!

Clinically, a case of AES is defined as a person of any age, at any time of year with the acute onset of fever and a change in mental status (including symptoms such as confusion, disorientation, coma, or inability to talk) and/or new onset of seizures (excluding simple febrile seizures). Most Common cause of AES is Japanese encephalitis and toxic encephalopathy.

There have also been cases of toxic encephalopathy (litchi deaths) in Muzaffarpur during the same season. outbreaks generally peak in June and continue until July, corresponding to the lychee harvesting period, which led to assertions of lychee or lychee orchard–associated AES. Lancet study done in 2014 found skipping evening meals and MCPG and hypoglycin toxins as a major cause of toxic encephalopathy. It recommended minimising litchi consumption, ensuring receipt of an evening meal and implementing rapid glucose correction for suspected illness.

Similar outbreaks in Bangladesh suggested the role of agrochemicals in its outbreak. the outbreak ended following the onset of the monsoon rains, which suggest that the toxin associated with the lychees was on their surface, rather than contained in the fruit. Acute exposures to organophosphate and carbamate pesticides in children accumulate acetylcholine at the autonomic ganglia resulting in hypertension, pallor, and hypoglycemia.48 This could explain why most of the case-patients fall ill between 2 am and 8 am when blood glucose reaches its lowest levels. This study was done in 2013 and published in ASTMH.

Japanese Encephalitis is a viral disease transmitted by the bite of infected female mosquitoes mainly belonging to Culex tritaeniorhynchus, Culex Vishnu and Culex pseudovishnui group.  However, some other mosquito species also play a role in transmission under specific conditions.

Culex mosquito usually bites in the night and prefer to stay in irrigated rice fields or darker areas of the house during day time. It prefers cleaner water for breeding.

JE virus is primarily zoonotic which means it's transmitted from animal to human in its natural cycle and humans are an accidental dead-end host. It doesn't transmit from human to human. Symptoms usually appear after an incubation period of 5-14 days from the bite of an infected mosquito. JE virus is neurotropic primarily affects the central nervous system

JE virus infection presents with classical symptoms similar to any other virus causing encephalitis. JE virus infection may result in febrile illness of variable severity associated with neurological symptoms ranging from headache to meningitis or encephalitis. Symptoms can include headache, fever, neck stiffness, disorientation, coma, tremors, paralysis (generalized), hypertonia, loss of coordination, behaviour changes, altered sensorium. The prodromal stage may be abrupt (1-6 hours), acute (6-24 hours) or more commonly subacute (2-5 days)

In the acute encephalitic stage, symptoms noted in prodromal phase convulsions, alteration of the sensorium, behavioural changes, motor paralysis and involuntary movement supervene and focal neurological deficit is common. Usually lasts for a week but may prolong due to complications.

Amongst patients who survive, some lead to full recovery through steady improvement and some suffer from the stabilization of neurological deficit. The convalescent phase is prolonged and varies from a few weeks to several months.

Mild infections occur without apparent symptoms other than fever with headache. More severe infection is marked by quick onset, headache, high fever, neck stiffness, stupor, disorientation, coma, tremors, occasional convulsions (especially in infants) and spastic (but rarely flaccid) paralysis.

There are different investigations using CSF and blood samples. Antigen and antibody detection, PCR and viral cultures are different ways to diagnose JE.

Treatment is usually symptomatic but for prevention recommendations are:

  1. Personal protection against bites of infected mosquitoes like wearing full sleeve clothes, using mosquito repellents, mosquito nets etc.
  2. Prevent breeding of mosquito by regularly cleaning any breeding sites. Usually, Culex mosquitoes prefer cleaner water and irrigated rice fields for breeding.
  3. Vaccination. There are different vaccines available:- Live Attenuated SA-14-14-2 Vaccine, Inactivated Vero cell culture-derived SA 14-14-2 JE vaccine (JE-VC), (IXIARO® and JEEV®), Inactivated Vero cell culture-derived Kolar strain, 821564XY, JE vaccine (JENVAC®)
  4. Anticipatory preparedness: As it's seasonal outbreak accordingly public health facilities can be strengthened to respond efficiently and effectively.  Vaccination can also be done among vulnerable groups residing in endemic areas.
5837 people found this helpful

Cervical Cancer - 4 Ways To Prevent It

Dr. D.D. Verma 89% (30 ratings)
Laproscopy Training, MS, MBBS
Gynaecologist, Ghaziabad
Cervical Cancer - 4 Ways To Prevent It

Cervical cancer is a kind of cancer that develops in the cervix of a woman. Cervix an an area between the uterus and vagina. It is preventable if diagnosed in early stages. Going for regular pap tests and taking a HPV vaccine can significantly lower the risk of cervical cancer. These symptoms include abnormal bleeding between menstrual periods, low back and lower abdominal pain, postcoital bleeding and strange smelling discharge. If not diagnosed in time, it can be life-threatening and requires intense treatment.  

  • Prevention of cervical cancer: There is usually no certain way of preventing cervical cancer, but by following a number of practices there is a possibility that you can prevent it. There are 3 major ways of prevention of cervical cancer, which include the following:
  • Safe sex: Major cases of cervical cancer are caused due to an infection by a virus known as human papillomavirus or HPV. This virus is usually transmitted by sexual means and having unprotected sex might leave you at the risk of getting infected by this virus during the sexual intercourse.  You should practice safe sex using protection such as condoms. This reduces your chances of being infected by the virus. This virus is transmitted via all types of sexual contact, which includes skin contact between the genitals. People who have unprotected sex with multiple sexual partners are at an increased risk of getting cervical cancer due to the HPV virus.
  • Cervical screening and vaccinationHaving a cervical screening or pap smear test on a regular basis is an efficient way to detect abnormal changes in the cervix cells, at a very early stage. Even if you are being vaccinated for the HPV virus, cervical screening is essential as the vaccines against HPV virus are not always successful in providing protection from cervical cancer. If you had been previously treated for abnormal changes in the cervix cells, you should undertake more frequent screening tests. The regularity of undergoing cervical screening depends on the severity of the cell change. You should report any symptom you experience in spite of having regular cervical screening. Several vaccines are used for protection from HPV infections.  
  • Avoid smokingYou can prevent the chances of having cervical cancer by giving up smoking. In case of  smokers, it is more difficult to eliminate the HPV infection from the body, and the chances of cervical cancer get enhanced. You can undertake various measures in order to quit smoking and prescribed medicines can be used to treat withdrawal symptoms.

Cervical cancer causes great strain on the body and it may spread all over the pelvic region. In some cases, distant tissues are also affected by cervical cancer. You should consult a doctor immediately after experiencing any symptom of cervical cancer.

In case you have a concern or query you can always consult an expert & get answers to your questions!

 

2662 people found this helpful

4 Ways You Can Try & Prevent Cervical Cancer

Dr. Shraddha Goel 89% (203 ratings)
MBBS, M.S (Obst&Gynae), DNB, FICOG
Gynaecologist, Jaipur
4 Ways You Can Try & Prevent Cervical Cancer

Cervical cancer is a kind of cancer that develops in the cervix of a woman. Cervix is an area between the uterus and vagina. It is preventable if diagnosed in early stages. Going for regular pap tests and taking a HPV vaccine can significantly lower the risk of cervical cancer. These symptoms include abnormal bleeding between menstrual periods, low back and lower abdominal pain, postcoital bleeding and strange smelling discharge. If not diagnosed in time, it can be life threatening and requires intense treatment. Following are the ways you can prevent cervical cancer. 

  1. Prevention of cervical cancer: There is usually no certain way of preventing cervical cancer, but by following a number of practices there is a possibility that you can prevent it. There are 3 major ways of prevention of cervical cancer, which include the following:
  2. Safe sex: Major cases of cervical cancer are caused due to an infection by a virus known as human papillomavirus or HPV. This virus is usually transmitted by sexual means and having unprotected sex might leave you at the risk of getting infected by this virus during the sexual intercourse.  You should practice safe sex using protection such as condoms. This reduces your chances of being infected by the virus. This virus is transmitted via all types of sexual contact, which includes skin contact between the genitals. People who have unprotected sex with multiple sexual partners are at an increased risk of getting cervical cancer due to the HPV virus.
  3. Cervical screening and vaccinationHaving a cervical screening or pap smear test on a regular basis is an efficient way to detect abnormal changes in the cervix cells, at a very early stage. Even if you are being vaccinated for the HPV virus, cervical screening is essential as the vaccines against HPV virus are not always successful in providing protection from cervical cancer. If you had been previously treated for abnormal changes in the cervix cells, you should undertake more frequent screening tests. The regularity of undergoing cervical screening depends on the severity of the cell change. You should report any symptom you experience in spite of having regular cervical screening. Several vaccines are used for protection from HPV infections.  
  4. Avoid smokingYou can prevent the chances of having cervical cancer by giving up smoking. In case of  smokers, it is more difficult to eliminate the HPV infection from the body, and the chances of cervical cancer get enhanced. You can undertake various measures in order to quit smoking and prescribed medicines can be used to treat withdrawal symptoms.

Cervical cancer causes great strain on the body and it may spread all over the pelvic region. In some cases, distant tissues are also affected by cervical cancer. You should consult a doctor immediately after experiencing any symptom of cervical cancer. If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.

2695 people found this helpful

Stomach Infection - 4 Ways to Avoid it!

Dr. Vishwas Madhav Thakur 93% (919 ratings)
MBBS, AFIH, PGDMLS, MD-HRM, MD-HM
General Physician, Gurgaon
Stomach Infection - 4 Ways to Avoid it!

Contaminated food is one of the most common sources of infections in the human body and so the stomach is one of the most commonly affected organs. Whether it is eating raw food or unhygienically prepared foods, the stomach has very high chance of getting infected than other body parts.

One of the most common causes of stomach infection is the norovirus also called as cruise ship virus. Spread through vomitus and faecal material, it is quite contagious and can affect large amounts of people in confined areas like a cruise ship. The common symptoms would include nausea, vomiting, diarrhoea, bloated feeling, abdominal pain (generalised or localised), fatigue and tiredness.

On the brighter side, there are well-proven measures listed below which are simple and easy to follow that can help avoid stomach infection.

  1. Restore bacterial balance: The good bacteria in the stomach are lost with the stomach flu and restoring it will help in managing the flu. A good amount of probiotics and fermented foods including yoghurt, sour curd, etc., will do wonders by restoring natural flora. Supplements can be taken if required, and these bacteria will restore the ability of the stomach to fight the virus.
  2. Isolation and separation: If there is a close family member affected by the virus, ensure they are staying separately and all their clothing (bedding included) are maintained in an isolated manner. Children and elderly need extra protection, whether they are affected or are in the same household.
  3. Cleaning methods: Since the virus spreads by contaminated faecal matter, vomitus and through surfaces, it is necessary to prevent the spread.
    • When in doubt, washing hands is very useful. Use soap and water instead of a hand wash. Staying away from picking nose and touching eyes are also useful.
    • The infected person’s clothes should be washed separately in extra hot water and bleached to get rid of the virus.
    • Using the dishwasher or soaking the washed utensils in extra-hot water is a good way to get rid of the virus.
    • Surfaces like laptops need to be cleaned more regularly and rigorously.
    • Steam cleaning of carpets is a good idea to get rid of the virus that may be locked there.
    • Avoid going out or being in close contact for about a week, as the virus needs that much time to clear out completely.
  4. Food habits
    • Do not eat raw or uncooked foods
    • Drink loads of water, clear soups, sports drink and lime juice to replace lost fluid.
    • Eat whole grains and fresh fruits and vegetables that are well-cooked to ensure you get the essential vitamins and minerals.

Following the above measures can help avoid the stomach flu and stay healthy. If you wish to discuss about any specific problem, you can consult a general physician.

5988 people found this helpful

Warts - Knowing The Causes & Prevention!

Dr. Sandeep Gupta 94% (1778 ratings)
MBBS, MD - Dermatology, observership Dermatosurgery IADVL
Dermatologist, Delhi
Warts - Knowing The Causes & Prevention!

Warts refer to a type of a deformity in the skin, which refers to the formation of a small, hard, benign growth on the surface of the skin. It is generally caused by a viral infection and results in a feeling of discomfort or pain.

What causes the formation of warts?

Common warts are caused due to infection of the outermost layer of skin that occurs as a result of viral contamination. The virus that is responsible for this condition belongs to the human papillomavirus (HPV) family. This infection is highly contagious and easily spreads from one person to the other. It is most likely to occur on skin that is cut or damaged as that allows easy access for the virus to enter the skin system.

How to prevent the formation of warts? Common warts are contagious and spread very easily. Preventing the spread of the HPV virus can be done through simple steps that will help you avoid getting affected by this condition.

Some of the preventive measures that can be adopted are as follows:

  1. Avoid biting fingernails as gnawing on the skin around the nails makes it more prone to infection.
  2. Grooming, brushing and shaving around infected areas should be done with care.
  3. Picking and scratching on warts should be avoided.
  4. Moisture and dampness should be avoided as the virus thrives on it.
  5. Do not self-medicate with lime (chuna), garliconion or any antiseptic lotion.
  6. Wart removal should be done by a qualified dermatologist. It is simple, safe OPD procedure which takes a few minutes only and does not leave any scars.

There are many methods to treat warts, but recurrence can occur in almost every treatment. It is also worth mentioning that warts can disappear on their own without any treatment.

2194 people found this helpful

Hepatitis - Knowing The Types & Their Causes!

MBBS , DNB MEDICINE, DM GASTRO
Gastroenterologist, Bhopal
Hepatitis - Knowing The Types & Their Causes!

Hepatitis is an inflammatory condition of the liver, which may often progress to dangerous complications. There are many types of Hepatitis and each has its own particular set of causes, symptoms, mode of contraction and treatment procedures. Here are the main types of Hepatitis as well as some of the factors which may cause Hepatitis:

Types

  1. Hepatitis A: Hepatitis A virus infection causes this condition. The Hepatitis A virus comes from food or water contaminated with the feces of someone contaminated with Hepatitis A. This is not a chronic form of Hepatitis.
  2. Hepatitis B: This is a chronic form of Hepatitis. It is spread through body fluid, such as blood, saliva. The possible causes of Hepatitis B include use of drugs through injections, having interactions with an infected partner and sharing razors or other intimate articles with someone who is infected.
  3. Hepatitis C: This is also a chronic form of Hepatitis.The most common causes of Hepatitis C are injection medicine use.
  4. Hepatitis D: This is a not a chronic form of Hepatitis and is also very uncommon. It is usually contracted along with Hepatitis B. It is usually caused due to puncture wounds or contact with infected blood.
  5. Hepatitis E: This is the most uncommon form of Hepatitis. It is due to poor sanitation and ingesting fecal matter. It is usually found in developing countries.

Causes

  1. Virus: This is the usual way of contracting Hepatitis. The virus attacks the liver and causes inflammation leading to the breakdown of a number of body systems.
  2. Alcohol and other toxins: Alcohol and certain prescribed medications cause the liver to swell and that is why this form of Hepatitis is known as alcoholic Hepatitis.
  3. Autoimmune disease: This is the rarest cause of Hepatitis. The immune system malfunctions and begins destroying its own tissues. It attacks the liver because it perceives the liver to be a foreign object.
2192 people found this helpful

Acute Respiratory Infections - Know Everything About It!

Integrated Medicine Specialist, Ajmer
Acute Respiratory Infections - Know Everything About It!

Recent years have witnessed the severity of acute respiratory infections. The cause is exposure to more of respiratory Infection causing microorganisms. Everyone is at a high risk of exposure. The infections affect all age groups. Therefore, you must know all about acute respiratory infections.

Acute respiratory infections may interfere in normal breathing. The infection often starts as a viral infection in the nose, trachea (windpipe) or in the lungs. In cases of non treatment, the infection spreads to the entire respiratory system. The infections are transmissible.

Causes
There are many respiratory infections of which causes are unknown. However, a few known viral causes are as follows:

  1. Adenoviruses: These viruses are known to have over 50 different types of viruses causing common cold, bronchitis as well as pneumonia.
  2. Rhinoviruses: These viruses cause common cold. Those individuals, be it young or old, who have a weak immune system can have an acute respiratory infection.
  3. Influenza virus: This is also known as Orthomyxovirus with six types of viruses, such as Type A, B and C, Isa Virus, Thogoto Virus and Coronavirus. Out of these, Type A is known to cause a severe disease.
  4. Enterovirus: This virus is associated with several human and mammalian diseases, including acute respiratory infection.
  5. Respiratory syncytial virus: This virus causes respiratory tract infections in the lower respiratory tract.

Bacterial causes are as follows:

  • Bacillus anthracis
  • Bordetella pertussis
  • Corynebacterium diphtheria
  • Pneumococcus: It is a cause of meningitis and Pneumonia.
  • Streptococcus pyogenes
  • Haemophilus influenzae

Symptoms
Few of the prominent symptoms are as follows:

  1. Itchy, watery eyes - Soreness behind eyes and often conjunctivitis
  2. Nasal discharge and congestion
  3. Sneezing
  4. Having Sore throat
  5. Coughing
  6. Severe Headache
  7. Fever
  8. Malaise
  9. Fatigue
  10. Muscle pain
  11. Diagnosis

The first thing that the doctor tends to check is the breathing pattern of the patient, followed by a number of checks

  1. Fluid and inflammation in the lungs
  2. Nose and throat checks
  3. X-ray or CT scan would be required to check the condition of the lungs in advanced cases

There could be complications such as respiratory failure, respiratory arrest or congestive heart failure

Treatment
Ideally for viruses, there isn't any cure. Medications that are prescribed are for the symptoms.

  1. Cautious use of antibiotics for the symptoms can reduce adverse effects as well as decrease costs. It will also reduce drug resistance.
  2. A single oral dose of nasal decongestant used in common cold could be moderately effective to aid congestion in grown-ups for a short period.
  3. Alternate medications such as the use of vitamin C help in the inhibition and cure of upper respiratory infections.

Prevention
1. Probiotics and vaccination are available for certain infections such as URTIs, Adenoviruses and Streptococcus pneumoniae.
2. Best prevention is to boost your immune system.

In case you have a concern or query you can always consult an expert & get answers to your questions!

3275 people found this helpful

Acute Respiratory Infections - Know Everything About It!

Dr. M Wali 86% (45 ratings)
MBBS, MD - Medicine, FACC, FRCP
Internal Medicine Specialist, Delhi
Acute Respiratory Infections - Know Everything About It!

Recent years have witnessed the severity of acute respiratory infections. The main cause is exposure to more of respiratory Infection causing microorganisms. Everyone is at a high risk of exposure. The infections can affect all age groups equally. Therefore, you must know all about acute respiratory infections.

Acute respiratory infections may interfere in normal breathing. The infection often starts as a viral infection in the nose, trachea (windpipe) or in the lungs. In cases of non treatment, the infection spreads to the entire respiratory system. The infections are transmissible.

Causes:
There are many respiratory infections of which causes are unknown. However, a few known viral causes are as follows:

  1. Adenoviruses: These viruses are known to have over 50 different types of viruses causing common coldbronchitis as well as pneumonia.
  2. Rhinoviruses: These viruses cause common cold. Those individuals, be it young or old, who have a weak immune system can have an acute respiratory infection.
  3. Influenza virus: This is also known as Orthomyxovirus with six types of viruses, such as Type A, B and C, Isa Virus, Thogoto Virus and Coronavirus. Out of these, Type A is known to cause a severe disease.
  4. Enterovirus: This virus is associated with several human and mammalian diseases, including acute respiratory infection.
  5. Respiratory syncytial virus: This virus causes respiratory tract infections in the lower respiratory tract.

Bacterial causes are as follows:

  • Bacillus anthracis
  • Bordetella pertussis
  • Corynebacterium diphtheria
  • Pneumococcus: It is a cause of meningitis and Pneumonia.
  • Streptococcus pyogenes
  • Haemophilus influenzae

Symptoms:
Few of the prominent symptoms are as follows:

  1. Itchy, watery eyes - Soreness behind eyes and often conjunctivitis
  2. Nasal discharge and congestion
  3. Sneezing
  4. Having Sore throat
  5. Coughing
  6. Severe Headache
  7. Fever
  8. Malaise
  9. Fatigue
  10. Muscle pain
  11. Diagnosis

The first thing that the doctor tends to check is the breathing pattern of the patient, followed by a number of checks:

  1. Fluid and inflammation in the lungs
  2. Nose and throat checks
  3. X-ray or CT scan would be required to check the condition of the lungs in advanced cases

There could be complications such as respiratory failure, respiratory arrest or congestive heart failure

Treatment:
Ideally for viruses, there isn't any cure. Medications that are prescribed are for the symptoms.

  1. Cautious use of antibiotics for the symptoms can reduce adverse effects as well as decrease costs. It will also reduce drug resistance.
  2. A single oral dose of nasal decongestant used in common cold could be moderately effective to aid congestion in grown-ups for a short period.
  3. Alternate medications, such as the use of vitamin C help in the inhibition and cure of upper respiratory infections.

Prevention:

  1. Probiotics and vaccination are available for certain infections such as URTIs, Adenoviruses and Streptococcus pneumoniae.
  2. Best prevention is to boost your immune system.
3725 people found this helpful

3 Causes Of Herpes!

Dr. Prabhjot Manchanda 93% (819 ratings)
MBBS, DNB - Obstetrics & Gynecology
Gynaecologist, Mumbai
3 Causes Of Herpes!

Herpes is caused due to the presence of the herpes simplex virus in your body. Herpes can appear on multiple areas of your body, but more commonly manifests in the genitals as well as the mouth. The two types of herpes are HSV-1 (oral herpes) and HSV-2 (responsible primarily for the outbreak of genital herpes). 

Causes of Herpes Simplex:

  1. Herpes is contagious in nature and can be passed to you by having sexual intercourse with anyone who has been infected. HSV 2 is the primary form of the virus, which is transmitted in this manner. 
  2. Herpes could be transmitted to an infant from their mother if she was infected while pregnant
  3. It can also get passed through direct contact like using the same plates or spoons or even the sharing of lip balm. Even kissing can spread the virus if the infected person has cold sores.

Symptoms of Herpes Simplex:

  1. The presence of blistering sores within the mouth or in the genital area is a telltale sign that you may have contracted genital herpes.
  2. If you are having painful urination then you should check with your doctor for the herpes virus.
  3. Continuous itching in certain areas such as the genitals.
  4. Not wanting to eat, having a fever could also be symptoms of herpes simplex virus in your body.
  5. Herpes can spread to your eyes and is known as herpes keratitis. It can cause pain in your eyes.

Diagnosis of Herpes Simplex:

  1. The common way to diagnose herpes is with an actual physical exam. Doctors will generally look out for sores on your body and may also check for some similar symptoms which might indicate herpes simplex. 
  2. HSV testing (alternately called herpes culture) is done to check the presence of a virus on the genitals. A fluid sample from the genitals is sent to laboratory for tests and will require a visit to the health center.
  3. There are blood tests to look for antibodies for both forms of HSV to diagnose the infections. However, this test is done only when there is and absence of sores or visible symptoms.

In case you have a concern or query you can always consult an expert & get answers to your questions!

5049 people found this helpful

Aids Kaise Hota Hai - ऐड्स कैसे होता है

Dt. Radhika 93% (473 ratings)
MBBS, M.Sc - Dietitics / Nutrition
Dietitian/Nutritionist, Delhi
Aids Kaise Hota Hai - ऐड्स कैसे होता है

ये सच है की मौत बहाने से आती है और उन बहानों में सबसे आम बहाना होता है बीमारी। हम सभी को जीवन एक बार मिलता है, जिसे हम बेहतर और लम्बा बनाने के लिए हर मुमकिन कोशिश करते हैं पर जीवन और मौत के दरम्यान बीमारी की तलवार हमेशा लटकती रहती है। इसलिए हम हमेशा बिमारियों से रूबरू होकर उनसे बचने या जीत हासिल करने की फ़िराक में रहते हैं जिससे अपनी उम्र और स्थिति में इजाफा कर लेते हैं। लेकिन इस बात पर गौर करना होगा कि कुछ बीमारियों से जूझ कर भी हम जीने की उम्मीद नहीं खोते पर कुछ बीमारियाँ ऐसी भी हैं जो हमें मारें उसके पहले ही हम दिमागी तौर पर दिन ब दिन मरने लगते हैं. आज इस लेख में हम ऐसी ही एक बीमारी के बारे में चर्चा करंगे जो जानलेवा होती है । आपको बताएंगे कि एड्स कैसे होता है और इसके पीछे क्या कारण होते है।

एड्स एक बेहद खतरनाक और जानलेवा बीमारी के रूप में जाना जाता है। यह बीमारी अगर किसी इंसान को हो जाये तो उसकी म्रत्यु निश्चित हो जाती है। केवल भारत को लिया जाए तो सालाना तकरीबन 80,000 से ज्यादा लोगो की म्रत्यु AIDS के वजह से होती है। इसलिए इससे बचना है तो यह जानना बेहद जरूरी हो जाता है कि एड्स क्या है और कैसे होता है?

क्या है एड्स - AIDS in Hindi

एड्स यानि कि उपार्जित प्रतिरक्षा नाशक रोग समूह, जिसका अर्थ है कि एड्स मनुष्य जाति में स्वाभाविक रूप से शुरू नहीं हुआ बल्कि मनुष्य जाति के अपने ही कुछ कर्मों के कारण उपार्जित हुआ। यह एक संक्रामक रोग है जो कि एच.आई.वी. (ह्यूमनइम्यूनो डेफिशियेन्सी वायरस) नाम के विषाणु के संक्रमण की वजह से होता है। जब यह विषाणु शरीर में प्रवेश कर जाता है तो ब्लड में पहुंच कर वाइट ब्लड सेल्स में मिलकर उसके DNA में पहुंच जाता है जहां वह विभाजित होता है और रक्त के सफेद कणों पर आक्रमण करता है। धीरे-धीरे यह सफेद कणों की संख्या बहुत कम कर देता है। उसी कमी या समाप्ति के साथ शरीर की रोगों से लड़ने की प्रतिरोधक क्षमता को समाप्त करता है।

यह विषाणु शरीर में प्रवेश करने के बाद समाप्त नहीं होता है। और इसी स्थिति को एड्स कहा जाता है।

  1. शोधकर्ताओं के अनुसार AIDS दो वायरस के कारण होता है, HIV1 और HIV2।
  2. HIV1 वायरस दुनिया भर में सबसे ज्यादा पाया जाने वाला वायरस है और HIV2 वायरस ज्यादातर वेस्ट अफ्रीका में पाया जाता है
  3. यह दोनों वायरस रेट्रोवायरस नामक प्रजाति के हैं जो अपना DNA इंसान के DNA से मिला देते है और जिंदगी भर उस इंसान के DNA के साथ रहते हैं।
  4. वैज्ञानिकों का कहना है कि मानव शरीर मे पाया जाने वाला वायरस मनुष्यों में बंदरों की प्रजातियों से आया है क्योंकि बंदरों में पाए जाने वाले HIV वायरस और मानव शरीर मे पाए जाने वाले HIV वायरस में काफी समान्यताएँ है।
  5. 1930 से 1940 के बीच पहली बार इंसानों में यह वायरस मिला। जो माना जाता है कि बंदर का मास खाने वाले कुछ अफ्रीकी आदिवासियों में पाया गया था और पूरी दुनिया में फैल गया।
  6. भारत देश AIDS के मरीजों की संख्या के मामले में दुनिया का तीसरा सबसे बड़ा देश है।

यह जानना जरूरी है की HIV छूने से नहीं फैलता। यह केवल शरीर के अंदर मौजूद तरल पदार्थ जैसे थूक, खून, और सेक्स के द्वारा निकलने वाला सेमेन से फैलता है।

HIV के संक्रमण के कारण - HIV- AIDS Hone Ke Karan in Hindi

  1. वजाइनल, ऐनल और ओरल सेक्स
    एचआईवी/एड्स से ग्रसित व्यक्ति के साथ असुरक्षित सेक्स करने से इसके वायरस आपके शरीर मे आ जाते हैं। यह वायरस किसी के शरीर मे चुम्बन द्वारा भी आ सकता है पर इसकी संभावना कम होती है क्योंकि थूक में HIV का वायरस कमज़ोर होता है और चुंबन करते समय कम से कम 1-2 लीटर थूक एक्सचेंज हो एक दूसरे का तभी संभव है थूक द्वारा HIV/AIDS होना।
  2. माँ द्वारा
    यदि जन्म देते समय माँ में HIV वायरस मौजूद है तो वह वायरस बच्चे के अंदर आ सकता है। यदि जन्म देने के बाद किसी कारण से माँ के अंदर HIV का वायरस आ जाता है तो यह बच्चे में स्तनपान के द्वारा भी आ सकता है। सही समय पर सही कदम लेने से यह रोका जा सकता है। सही कदम नहीं उठाने के कारण तकरीबन 30% बच्चे जन्म से ही HIV/AIDS से संक्रमित होते हैं।
  3. इंजेक्शन
    किसी HIV/AIDS के मरीज़ के शरीर मे इस्तेमाल की गई सुई को किसी दूसरे व्यक्ति के शरीर मे इस्तेमाल करने से HIV/AIDS फैल सकता है।
  4. शल्य चिकित्सा शास्त्र
    शल्य चिकित्सा शास्त्र यानी सर्जिकल इंस्ट्रूमेंट्स जो सर्जरी करने के लिए इस्तेमाल की जाती है, अगर HIV AIDS के मरीज़ के शरीर पर इस्तेमाल की गई हो और उसे बिना अच्छे से साफ किये दूसरे के शरीर मे इस्तेमाल किया जाए तो HIV AIDS फैल सकता है।
  5. संक्रमित रक्त
    HIV/AIDS एड्स से ग्रसित व्यक्ति का खून बिना जाँच किए किसी को चढ़ा दिया जाए तो उससे भी HIV/AIDS हो सकता है।
  6. म्यूकस मेम्ब्रेन
    म्यूकस मेम्ब्रेन जो शरीर के आन्तरिक अंगों को घेरे रहती है और सभी कैविटीज की सबसे ऊपरी परत होती है यदि उसमें HIV/AIDS का संक्रमित रक्त लग जाता है तो उस व्यक्ति को  HIV/AIDS हो सकता है। जैसे कि यदि किसी को चोट लगी हो और उस चोट पर किसी व्यक्ति का खून लग जाए जिसे HIV /AIDS हो तो उस खून में मौजूद HIV वायरस उस चोट लगे हुए हिस्से से दूसरे व्यक्ति के शरीर मे प्रवेश कर जाता है।

बताए गए कारणों से HIV /AIDS फैलता जरूर है पर जरूरी नहीं है कि इन वजहों से किसी का खून यकीनन संक्रमित ही हो जाए। यह इसपर भी निर्भर करता है कि HIV वायरस कितना मजबूत है। यदि कमज़ोर HIV वायरस किसी के शरीर मे किसी भी तरीके से चला जाए तो संभव है कि उस व्यक्ति को HIV/AIDS न हो।

HIV-AIDS किन कारणों से नही फैलता - AIDS Kin Karano Se Nhi Felta

बदकिस्मती से दुनिया मे HIV को लेकर कई गलतफैमियाँ है इस कारण यह भी जानना जरूरी हो जाता है कि HIV-AIDS किन कारणों से नही फैलता।

  1. कीड़े मकोड़ो के काटने से
  2. किसी HIV AIDS के मरीज के मूत्र और पसीने से
  3. शौचालय या स्विमिंग पूल को इस्तेमाल करने से
  4. HIV AIDS के मरीज का टॉवल या कपड़ा इस्तेमाल करने से
  5. HIV AIDS के मरीज़ों को छूने से या साथ काम करने से
  6. HIV AIDS के मरीज के साथ एक थाली में खाने
  7. HIV AIDS के मरीज का किसी के सामने छींकने से या खाँसने से भी HIV AIDS नही फैलता है।
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